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France: 2010 measles outbreaks

Shiloh

Editor, Senior Moderator
Source: http://www.lanouvellerepublique.fr/dossiers/journal/index.php?dep=37&num=1598647

Google translation from French:

Measles: do not panic but think of the vaccine

Then it was believed virtually disappeared, measles comeback
in the department. Doctors call for vigilance.

Year after year, the number of cases of measles can be counted on the fingers of one hand in Indre-et-Loire. But in a few weeks (since late December), 76 cases were detected after the first ripple in the middle of 2009. Loir-et-Cher and Vienne were also affected, but in smaller numbers.

Of the 76 people who have triggered the disease, 19 have been hospitalized, sometimes for pulmonary complications or monitored. No cases of encephalitis, however, has been detected.

Fifteen patients (at) High School Choiseul

Several schools of Tours and its suburbs have been affected by this epidemic: a school, four high schools, two vocational schools and colleges, mainly in Tours, Joue-les-Tours and Saint-Cyr. "Every time it's one or two cases," says Isabelle Nicoulette, doctor of public health. The exception is the high school Choiseul, Tours-Nord, where there are a dozen patients.
No question, provided, to a quarantine facility: "We are absolutely not in the same situation as influenza A, said Dr. Brigitte Moltrecht, adviser to the inspector of schools.
"Our role now is to call people to be vigilant to prevent its spread. Measles, a highly contagious disease, fatal in rare cases (0.7 cases per 1 000 in Europe), affects about 5,000 people per year due to insufficient coverage. It is therefore strongly advised to get vaccinated and do not forget the reminder for those who have suffered a first injection. An imperfect vaccine will not protect you. We have sent informative letters to parents. "
The disease has also reached the final days of hospital staff who had contact with patients (two nurses in the emergency department). "So we have also alerted the medical work, says Nora Kihal-Flegeau, director of the county Ddass ai. What is important now is to get two messages: all persons born after 1965 should check if they are vaccinated. Furthermore, doctors must notify us of any new cases of measles. "

Jacques Benzakoun
 
Re: France: 2010 measles outbreaks

Source: http://www.bienpublic.com/fr/accueil/article/2869248/La-rougeole-recircule.html

Google translation from an excerpt of the article:

...According to the Institut de Veille Sanitaire (Invs), a resurgence of measles has been observed in France. While an average of 40 cases occurred in previous years, the figure rose to 604 in 2008, all in metropolitan France. In 2009, the provisional number reported is 1 525 (2.47 per 100 000 inhabitants). For the single month of January 2010, Invs received 100 cards mandatory reporting of measles. The departments most affected are the Puy-de-Dôme, Allier, Tarn, Charente-Maritime, Upper Rhine(Haut-Rhin), Indre-et-Loire, and the Landes.

Published on 20/03/2010
 
Re: France: 2010 measles outbreaks

Source: http://www.lamontagne.fr/editions_l...fait_son_apparition@CARGNjFdJSsGFBMBAxo-.html

Google translation:

LIMOGES
Health
Friday, April 16, 2010 - 05:21
Measles re-emerged

It was thought almost extinct, and yet, measles resurfaced in France. 26 cases were reported to the Regional Agency for Health Limousin since March 23. Six hospitalizations.

Days before the launch of the European week of vaccination, measles is talk again of it in Limousin. And not just because it is, with whooping cough, one of two themes chosen for this year for our region.

"Of the 26 cases reported, only 10 of them involving the Faculty of Sciences and the IUT, indicated yesterday Prof. Fran?ois Bonnaud, head of academic medicine.

Six cases have been hospitalized, including five students and a teacher. All subjects were released very quickly, except one case a little more severe... "
 
Re: France: 2010 measles outbreaks

Source: http://www.letelegramme.com/ig/gene...che-de-belle-ile-en-mer-14-04-2010-870223.php

Google translation:
Measles. An epidemic is a manger of Belle-Ile-en-Mer
April 14, 2010


For a week, doctors at Belle-Ile-en-Mer have found a significant number of cases of measles. A situation symptomatic of the resurgence of the disease since the second half of 2008.

The first case of measles was reported in Belle-Ile-en-Mer on March 31. Since then, twenty-troisenfants have been affected. Three of them were hospitalized in Vannes. All sick children are currently infected children attending the nursery "simpleton" in Bangor. According to The Regional Health Agency UK (ARS), "the local situation is part of the resurgence of the disease found in France since the second half of 2008, reflecting a widening circulation of the virus on national level. " According to current epidemiological data from the Health Watch Institute, "people most affected are infants under one year, adolescents and young adults, reflecting immunization coverage against measles in these poor age where the complications of the disease are the most frequent terms pulmonary, neurological, and serious...
 
Re: France: 2010 measles outbreaks

Source: http://www.midilibre.com/articles/2010/04/17/MILLAU-Printemps-charge-pour-la-MJC-1191975.php5

Google translation:

...Measles Warning! In an epidemic area, cases of measles were reported to the Regional Health Agency of Midi-Pyrenees. Since late January, more than 50 cases have been recorded in Aveyron. 81% of cases were under 15 years. Measles is one of the most contagious infectious diseases for which vaccines are well tolerated, effective and accessible (MMR). If your child's immunization is incomplete or nonexistent, then it is advisable to consult your doctor.
 
Re: France: 2010 measles outbreaks

Source: http://sante-medecine.commentcamarc...60-cas-de-rougeole-declares-depuis-debut-2010

Google translation:

Nearly 660 cases of measles reported since early 2010
Relaxnews Tuesday, April 20, 2010 at 18:50:00
Nearly 660 cases of measles reported since early 2010
Some 659 cases of measles have been reported since the beginning of 2010, as the provisional ballot data notifiable disease made by the Institut de Veille Sanitaire (VS), published Tuesday, April 20. Nearly 10% of cases observed since 2010 in children aged under 1 year and nearly 40% of adults aged 20 and over. Complications from the disease are more frequent and severe for these two age groups.

Over 2,800 cases of measles have been reported since 1 January 2008, since when the epidemic is raging in France. Nearly 1,600 cases were reported in 2009, against more than 600 in 2008. "The circulation of virus intensifies in 2010, according InVS...
 
Re: France: 2010 measles outbreaks

Source: http://www.bienpublic.com/fr/accueil/article/3066336/Le-retour-de-la-rougeole.html

Google translation:

Health. The resurgence of the disease concerned health professionals in C?te-d'Or
The return of measles

Measles returns to France and especially in C?te-d'Or, lack of adequate immunization coverage. An unpleasant illness and not always benign.

Age limit. People over age 45 do not need the vaccine. We assume they are immune.

MMR. MMR (measles-mumps-rubella) can be practiced from 12 months or nine months if community.

While in 2006 and 2007, an annual forty cases of measles were reported in France in 2008, nearly 604 cases have been reported to the Institut de Veille Sanitaire (VS), with a score of outbreaks mainly in schools where children were inadequately vaccinated. This epidemic has intensified since 2009. The provisional report prepared by InVS indicates 1525 cases reported in 2009 and nearly 100 for the month of January 2010. The main areas of contamination are the school and family environment.

In C?te-d'Or, 13 cases have been identified since February 2010. Our department has also been the source of an outbreak of a hundred cases in 2008. The fire which started in a school had been exported by residents residing in other departments.

A highly contagious disease

"Measles, when it affects infants, young adults and adults can be severe. It can cause acute encephalitis (one case per thousand) and pneumonia, "said Dr. Jeanine Stoll, a medical epidemiologist in the WAX Bourgogne Franche-Comt? (cells interregional epidemiology). "Measles is a highly infectious disease regardless of hygiene measures in place. A patient may contaminate fifteen to twenty other unvaccinated. The complicated forms of the disease affect approximately 30% of cases of measles. The contagiousness of measles is such that the only way to stop an epidemic is reaching around the case proved. The role of DDASS is to find people who have been in contact with the patient, "says Dr. Stoll who mentions that" the vaccine is the best prevention. " The vaccine has existed since 1960. Since 1986, the vaccine "triple" against measles, mumps and rubella (three highly contagious diseases) is recommended in France. It is according to the doctor "very well tolerated.

Low vaccination coverage

The first vaccination is recommended for all infants from the age of twelve months (from nine months of entry into community). A second dose is recommended between thirteen and twenty-four months. All children at the age of twenty-four months should have received two doses of vaccine against measles, mumps and rubella (following a period of at least one month after the second injection). The percentage of the French population vaccinated, also called immunization coverage against measles is not sufficient to protect the entire population. This partly explains the resurgence of this disease. "A vaccine coverage of 95% must be achieved to allow stopping the movement of this virus," said the doctor who states that "exposure to the virus vaccine made within 72 hours after the contact can prevent the disease. " A measles vaccine can be made only on the small of six months has been in contact with a patient.

The vaccinations recommended by the schedule are, by definition, not mandatory. At each of judging the value or not prevention. The doctors have them, chose to encourage people not to underestimate the virulence of measles.
Catherine Vachon
 
Re: France: 2010 measles outbreaks

<TABLE id=apex_layout_271110100662109808 class=formlayout border=0 summary=""><TBODY><TR><TD noWrap align=right>Archive Number</TD><TD noWrap align=left>20101027.3902</TD></TR><TR><TD noWrap align=right>Published Date</TD><TD noWrap align=left>27-OCT-2010</TD></TR><TR><TD noWrap align=right>Subject</TD><TD noWrap align=left>PRO/EDR> Measles - France (02)</TD></TR></TBODY></TABLE>

MEASLES - FRANCE (02)
*******************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>



Date: Tue 26 Oct 2010
Source: Maxisciences online [in French, trans. Corr.SB, edited]
<http://www.maxisciences.com/%E9pid%E9mie-de-rougeole/sante-l-epidemie-de-rougeole-s-est-intensifiee_mrm41552.html>


Far from having diminished, the measles epidemic raging in France
since 2008 up to the present has involved more than 5000 cases. Since
2005, the health authorities had failed to anticipate that this
resurgence of measles would restore measles to the status of a
notifiable disease.

The French measles elimination program was established in 2005,
including setting a target of 95 percent vaccination coverage by 2
years of age and an annual incidence of less than 0.1 cases per 100
000 inhabitants.

However, l'Institut National de Veille Sanitaire (InVS) [the National
Institute of Health Surveillance] recorded that measles virus
circulation intensified in early 2010, with over 3000 cases between
January and August with a peak incidence in April [2010]. In the 1st
8 months of 2010, the proportion of hospitalized cases, among
reported cases, is 34 percent. This high figure is accounted for by a
higher rate of notification of hospitalized cases and an increased
incidence in infants under one year of age and in young adults, where
the complications of measles virus infection are more common and more severe.

Since the epidemic began, 4 people have died of measles complications
(2 were neurological cases and pulmonary disease in the other 2
cases). The circulation of the virus is affecting the entire
metropolitan area of France, with a high incidence observed in
certain departments (over 15 cases per 100 000 inhabitants),
reflecting clustering of cases in particular situations. The regions
most affected are the Midi-Pyrenees (14.10 cases per 100 000
inhabitants), Poitou-Charente (10.40), Limousin (9.72), Central
(8.04), Languedoc-Roussillon (7.12 ), Pays de Loire (7.06), Paca
(6.17), and Ile-de-France (5.53).

This situation is the result of inadequate vaccination (90 percent
overall only in 2007, but very heterogeneous across regions). Prompt
reporting of suspected cases will enable the health authorities to
react by carrying out vaccination around single cases or groups of
cases to achieve ring-fencing and restrict dissemination of the virus
particularly to vulnerable groups such as infants and
immuno-compromised individuals.

--
Communicated by:
HealthMap Alerts via
ProMED-mail <promed@promedmail.org>

[Severe outbreaks of measles virus infection have been observed in
early 2010 throughout Europe (Bulgaria, Spain, Ireland, Germany), but
France is the country most severely affected, as revealed by these
data from the INVS. Few cases were reported previously during 2007.
The incidence of confirmed cases was 0.95/1000 in 2008 (604 cases),
rising to 2.5/1000 cases in 2009 (1544 cases). During the 1st 5
months of 2010, 1972 cases were registered [see previous ProMED-mail report].

In June 2010, the NVS reported that between January 2008 and 31 May
2010, 4120 cases of measles had been recorded in France. Now the
figure exceeds 5000 cases, and the epidemic shows no signs of abating.

A map of the departments of France is available at:
<http://en.wikipedia.org/wiki/File:Dep-fr.svg>. The
HealthMap/ProMED-mail interactive map of France can be accessed at:
<http://healthmap.org/r/00Fc>. - Mod.CP]

[see also:
Measles - France 20100701.2191
2009
----
Measles, resurgence in 2008 - France 20090212.0633
2008
----
Measles - France (03): (Faye d' Anjou) holiday camp 20080920.2957
Measles - France: schools 20080825.2649
Measles - France: (Marne) 20080328.1165]
...........................................sb/cp/msp/dk

...
http://www.promedmail.org/pls/apex/..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,85533
 
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